<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Insert title here</title>
<%@include file="include/header.jsp" %>
</head>
<body>
<%@include file="include/menu.jsp" %>
</head>
<body>
<form method="post" action="#" >   
 
    <div  class="container">
	    <div   class="row">
	    
	    <div class="col-xs-12 col-sm-4">   ID    </div>	    
	    <div class="col-xs-12 col-sm-8"> <label for="id" name="lbl_reg_id"  >0001</label> </div>   
	    
	    </div>

<br/>
	    <div   class="row">
	    
	    <div class="col-xs-12 col-sm-4">   VIVIENDA   </div>	    
	    <div class="col-xs-12 col-sm-8">  <div> <input type="text"  name="txt_nom_vivienda"  class="form-width-height">    <input type="submit" class="btn"  value="Enviar"> </div> </div>   
	    
	    </div>
	    
<br/>	    
	    
	    <div   class="row">
	    
	    <div class="col-xs-12 col-sm-4">   FECHA DE REGISTRO   </div>	    
	    <div class="col-xs-12 col-sm-8">  <input type="date"  name="txt_fecha_registro"   class="form-width-height"> </div>   
	    
	    </div>

<br/>	    
	    <div   class="row">
	    
	    <div class="col-xs-12 col-sm-4">   IMPORTE   </div>	    
	    <div class="col-xs-12 col-sm-8">  <input type="decimal"   name="txt_importe" class="form-width-height" > </div>   
	    
	    </div>
	    
	    
	<br/>    
	    
	    <div   class="row">
	    
	    <div class="col-xs-12 col-sm-4">   FECHA DE VENCIMIENTO   </div>	    
	    <div class="col-xs-12 col-sm-8">  <input type="date"  name="txt_fecha_vencimiento"  class="form-width-height">  </div>   
	    
	    </div>
	<br/>    
	    <div   class="row">
	    
	    <div class="col-xs-12 col-sm-6">   <input type="submit"  value="cancelar" class="btn">  </div>	    
	    <div class="col-xs-12 col-sm-6">  <input type="submit" value="Aceptar" class="btn"> </div>   
	    
	    </div>
	    
	    
  </div>
		
 </form>
 
<!-- / fin  contenedor -->
</body>
</html>